Individual
DR. THOMAS JOSHUA MAXWELL III
Active
Individual
DR. THOMAS JOSHUA MAXWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13594
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110015936
RAILROAD MEDICARE
AZ
01
—
AZ0079640
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/24/2005
Last updated
09/09/2016
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